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Medical Definition of Cauda equina. Cauda equina: A bundle of spinal nerve roots that arise from the end of the spinal cord. The cauda equina comprises the roots of all the spinal nerves below the first lumbar (L1) vertebra in the lower back. Last Editorial Review: 5/13/2016.
The cauda equina (horses tail) is so-called because of its appearance. It is found at the lower end of the spinal cord. The spinal cord is shorter than the spinal (vertebral) canal in which it runs, ending at the approximate level of the first or second lumbar vertebra (this may vary in different people). The cauda equina contains the nerve roots from L1-5 and S1-5. Note that nerve roots L4-S4 join in the sacral plexus which gives rise to the largest nerve in the body, the sciatic nerve. The sacral plexus is also involved in sensory and motor nerves to and from the anal and genital regions.